Magnifying Endoscopic Features of Follicular Lymphoma Involving the Stomach: A Report of Two Cases

نویسندگان

  • Masaya Iwamuro
  • Katsuyoshi Takata
  • Seiji Kawano
  • Nobuharu Fujii
  • Yoshiro Kawahara
  • Tadashi Yoshino
  • Hiroyuki Okada
چکیده

A 70-year-old woman presented with follicular lymphoma involving the stomach, duodenum, jejunum, bone, and lymph nodes. Esophagogastroduodenoscopy revealed multiple depressed lesions in the stomach. Examination with magnifying endoscopy showed branched abnormal vessels along with gastric pits, which were irregularly shaped but were preserved. The second case was a 45-year-old man diagnosed with stage II1 follicular lymphoma with duodenal, ileal, and colorectal involvement, as well as lymphadenopathy of the mesenteric lymph nodes. Esophagogastroduodenoscopy performed six years after the diagnosis revealed multiple erosions in the gastric body and angle. Magnifying endoscopic observation with narrow-band imaging showed that the gastric pits were only partially preserved and were destroyed in most of the stomach. Branched abnormal vessels were also seen. Pathological features were consistent with follicular lymphoma in both cases. The structural differences reported between the two cases appear to reflect distinct pathologies. Disappearance of gastric pits in the latter case seems to result from loss of epithelial cells, probably due to chronic inflammation. In both cases, branched abnormal vasculature was observed. These two cases suggest that magnified observations of abnormal branched microvasculature may facilitate endoscopic detection and recognition of the extent of gastric involvement in patients with follicular lymphoma.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Magnifying Endoscopy for Intestinal Follicular Lymphoma Is Helpful for Prompt Diagnosis

The representative endoscopic features of primary intestinal follicular lymphoma are well known as small whitish polypoid nodules, but a magnified view has only been described in a few case reports. Herein, we report a case with intestinal follicular lymphoma in which magnifying endoscopy with narrow band imaging was helpful for prompt diagnosis. A 57-year-old Japanese woman underwent surveilla...

متن کامل

Primary Follicular Lymphoma of the Conjunctiva in a 12 Year-Old Male

Abstract Background Follicular lymphoma (FL) is the second most common adnexal lymphoma of the eye that almost all of them are reported in elderly patients. Primary FL of the eye has been reported in only two children. Pediatric FL appears to be biologically distinct from typical adult FL. In cases without other organ involvement excision alone with close monitoring is a treatment of choic...

متن کامل

Magnified endoscopic images of gastric MALT lymphoma before and after treatment.

fying endoscopy in the diagnosis of gas− tritis and gastric cancer has been report− ed [1, 2]. However, there have been no re− ports on magnified endoscopic images of nonepithelial gastric tumors. We con− ducted a long−term follow−up of gastric mucosa−associated lymphoid tissue (MALT) lymphoma by magnifying endos− copy. The magnifying electronic video endo− scope used was a GIF−Q240Z model (Oly...

متن کامل

Magnifying narrow-band imaging endoscopy for the diagnosis of gastric primary extramedullary plasmacytoma: a first case report.

the diagnosis of gastric primary extramedullary plasmacytoma: a first case report Magnifying narrow-band imaging (NBI) endoscopy has been increasingly used in the diagnosis of early gastric cancer and is regarded as an effective diagnostic approach. This technique has been used to classify gastric cancer according to the tumor surface structure and microvessels [1,2]. We obtained a magnified NB...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 2016  شماره 

صفحات  -

تاریخ انتشار 2016